Individual
DIANA LORENA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 FAWN GATE, SAN ANTONIO, TX 78248-1324
(210) 771-9389
Mailing address
1711 FAWN GATE, SAN ANTONIO, TX 78248-1324
(210) 771-9389
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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